Provider Demographics
NPI:1790733145
Name:FRIEDMAN, LEONARD M (MD)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:M
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4301 CONNECTICUT AVE NW
Mailing Address - Street 2:STE 125
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-2332
Mailing Address - Country:US
Mailing Address - Phone:202-362-4545
Mailing Address - Fax:202-244-8028
Practice Address - Street 1:4301 CONNECTICUT AVE NW
Practice Address - Street 2:STE 125
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-2332
Practice Address - Country:US
Practice Address - Phone:202-362-4545
Practice Address - Fax:202-244-8028
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2019-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD4794207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCC61744Medicare UPIN
DC492269Medicare PIN